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Dr Pradeep Makan is an Orthopaedic surgeon with extensive experience in treating spinal problems. He practises in Cape Town and utilises modern, advanced techniques in spinal surgery to treat degenerative neck and back conditions, spinal deformities, and spinal trauma. Following a thorough clinical assessment and appropriate diagnostic tests, Dr Makan will adopt an individualised approach to spinal surgery.

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Neck or Cervical Spine Surgery

Neck pain is a common problem that affects the upper portion of the spine. In most cases, mechanical neck pain is caused by a progressive disc or joint degeneration or injury and can often be treated conservatively with pain medication and therapy. Surgery is recommended when there is nerve or spinal cord involvement and when medical treatment has failed.

Surgery for neck pathology includes:

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Neck or Cervical Spine Surgery
Back or Lumbar Spine Surgery

Back or Lumbar Spine Surgery

Back pain is a common condition that affects the lower portion of the spine. In most cases, back pain is caused by progressive disc or facet joint degeneration or injury, and in many patients, it settles with rest, pain medication and therapy. Surgery for back and leg pain is indicated when there is nerve or cauda equina involvement and when medical treatment has failed. Pathological back pain is the exception as it is caused by an underlying medical condition that requires special tests and appropriate treatment of the underlying condition.

Surgical treatment for back-related problems includes:

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Back or Lumbar Spine Surgery

Back pain is a common condition that affects the lower portion of the spine. In most cases, back pain is caused by progressive disc or facet joint degeneration or injury, and in many patients, settles with rest, pain medication and therapy. Surgery for back and leg pain is indicated when there is nerve or cauda equina involvement and when medical treatment has failed. Pathological back pain is the exception as it is caused by an underlying medical condition that requires special tests and appropriate treatment of the underlying condition.

Surgical treatment for back related problems includes:

  • Lumbar Discectomy
  • Posterior Spinal Decompression (Laminotomy, Laminectomy, Facetectomy)
  • Posterior Spinal Fusion (Minimally Invasive Fusion, Midline Cortical Screws and TLIF)
  • Percutaneous Pedicle Screws and DLIF,
  • Open Surgery Using Pedicle Screw Fixation with or without inter-body cages.
  • Anterior spinal fusion
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Spinal Deformity Surgery

Spinal deformities may present in childhood or adult life as Idiopathic Scoliosis or Adult Spinal Deformity (Kyphoscoliosis), respectively. Surgical correction is possible using pedicle screws and rods, restoring the natural curvature of the spine.

Surgical treatment for spinal deformity includes:

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Spinal Deformity Surgery
Spinal Trauma Surgery

Spinal Trauma Surgery

Spinal trauma surgery entails stabilising the spinal column, and when indicated, the removal of broken bone fragments, herniated discs, and foreign bodies to relieve nerve or spinal cord compression.

Trauma spinal procedures include:

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Spinal Trauma Surgery

Spinal trauma surgery entails stabilizing the spinal column and when indicated the removal of broken bone fragments, herniated discs, and foreign bodies to relieve nerve or spinal cord compression.

Trauma spinal procedures include:

  • Vertebroplasty or Balloon Kyphoplasty for insufficiency or Osteoporotic fractures
  • Fixation of Stress fractures
  • Fusion for Fractures and dislocations
  • Coccygectomy
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Spinal Tumour Surgery

Spinal tumour surgery often involves decompression and fusion surgery with partial or complete excision of the spine lesion/s to relieve pressure on the nerves or spinal cord and stabilisation to treat the instability pain.

Surgical treatment for spinal tumours includes:

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Spinal Tumour Surgery